{"id":2618,"date":"2010-06-24T17:46:59","date_gmt":"2010-06-24T09:46:59","guid":{"rendered":"https:\/\/edu.secda.info\/pcrohs\/?p=2618"},"modified":"2023-04-20T15:47:32","modified_gmt":"2023-04-20T07:47:32","slug":"%e9%aa%a8%e6%8a%98%e7%99%92%e5%90%88-%e4%bd%86%e5%8d%bb%e5%a4%b1%e8%83%bd","status":"publish","type":"post","link":"https:\/\/edu.secda.info\/pcrohs\/?p=2618","title":{"rendered":"\u9aa8\u6298\u7652\u5408, \u4f46\u537b\u5931\u80fd ?"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/edu.secda.info\/pcrohs\/wp-content\/uploads\/2023\/04\/\u9aa8\u6298\u7652\u5408-\u4f46\u537b\u5931\u80fd.jpg\" alt=\"\" width=\"106\" height=\"93\" class=\"alignnone size-full wp-image-2619\" \/><br \/>\n   \u6700\u8fd1\u6709\u5e7e\u4f4d\u75c5\u4eba\u56e0\u70ba\u9aa8\u6298\u5f8c\u96d6\u5df2\u7652\u5408,\u4f46\u537b\u6301\u7e8c\u6709\u7570\u5e38\u75bc\u75db, \u6c34\u816b, \u76ae\u819a\u6eab\u5ea6\u6216\u984f\u8272\u6539\u8b8a,\u4ee5\u53ca\u95dc\u7bc0\u6523\u7e2e\u7b49\u60c5\u5f62,\u5728\u5404\u5c08\u79d1\u91ab\u5e2b\u9580\u8a3a\u8a3a\u6cbb\u6548\u679c\u4e0d\u80fd\u4f7f\u52de\u5de5\u8207\u96c7\u4e3b\u63a5\u53d7,\u800c\u5230\u8077\u696d\u75c5\u9580\u8a3a\u4f86\u5c0b\u6c42\u5de5\u4f5c\u5931\u80fd\u7684\u8a8d\u5b9a, \u53ef\u80fd\u662f\u985e\u4f3c\u5982\u4e0b\u7684\u75be\u75c5.  <\/p>\n<p>   \u53cd\u5c04\u6027\u4ea4\u611f\u795e\u7d93\u5931\u990a\u75c7(RSD)\uff0c\u6216\u7a31\u7b2c\u4e00\u578b\u8907\u5408\u6027\u5340\u57df\u75bc\u75db\u75c7\u5019\u7fa4(complex regional pain syndrome, CRPS, type I)\u662f\u4e00\u7a2e\u80a2\u9ad4\u90e8\u4efd\u5728\u53d7\u50b7\u5f8c\u6301\u7e8c\u7684\u75bc\u75db\u3002\u5b83\u4e26\u4e0d\u5c40\u9650\u5728\u55ae\u4e00\u795e\u7d93\u5206\u4f48\u7bc4\u570d\u5167\uff0c\u4e14\u5e38\u4f75\u67d0\u4e9b\u76f8\u95dc\u75c7\u72c0\uff0c\u4f8b\u5982\uff1a\u6c34\u816b\uff0c\u76ae\u819a\u8840\u7ba1\u7684\u8b8a\u5316\uff0c\u6b64\u5916\u4e5f\u5728\u75bc\u75db\u5340\u57df\u6709\u4e0d\u6b63\u5e38\u7684\u6d41\u6c57\u52d5\u614b\u6d3b\u52d5(sudomotor activity)\uff0c\u7570\u5e38\u75bc\u75db(allodynia)\u6216\u75db\u89ba\u904e\u654f(hyperalgesia)\u3002\u7b2c\u4e8c\u578b\u8907\u5408\u6027\u5340\u57df\u75bc\u75db\u75c7\u5019\u7fa4(complex regional pain syndrome type II) \uff0c\u53c8\u7a31\u70ba\u707c\u72c0\u795e\u7d93\u75db(causalgia) \u6709\u707c\u75db(burning pain)\uff0c\u7570\u5e38\u75bc\u75db\u53ca\u75db\u89ba\u904e\u654f\uff0c\u5e38\u5177\u6709\u767c\u751f\u5728\u624b\u53ca\u8db3\u90e8\u5206\uff0c\u4e3b\u8981\u8207\u795e\u7d93\u53e2\u7684\u672c\u8eab\u6216\u5206\u652f\u53d7\u50b7\u5f8c\u7522\u751f\u7684\u75c5\u8b8a\u6709\u95dc\u3002\u5973\u6027\u7684\u767c\u751f\u7387\u5927\u6982\u662f\u7537\u6027\u7684\u4e09\u500d\uff0cRSD\u6700\u5e38\u898b\u7684\u73fe\u8c61\uff0c\u662f\u75c5\u4eba\u6709\u8f15\u5fae\u53d7\u50b7\u4f34\u96a8\u4e0d\u5c0d\u7a31\u7684\u75bc\u75db\uff0c\u9808\u8f03\u4e45\u624d\u6703\u7652\u5408\u3002\u5728Type I\u5e38\u898b\u7684\u56e0\u7d20\u5305\u62ecColles\u2019fracture:\u670925% \u7684\u75c5\u4eba\u6703\u6709RSD\u3002\u75c5\u4eba\u53ef\u4ee5\u5728\u9aa8\u629810 \u5e74\u5f8c\u6703\u7522\u751fRSD\u7684\u5f8c\u907a\u75c7\u3002\u77f3\u818f\u5167\u5728\u7684\u58d3\u529b\u51fa\u73fe\u592a\u7dca\u3001\u816b\u8139\u548cRSD \u7684\u767c\u751f\u6709\u95dc\u9023\u3002RSD\u767c\u751f\u5728SCI(\u810a\u9ad3\u50b7\u5bb3)\u7684\u75c5\u4eba\uff0c\u5927\u6982\u6709\u767e\u5206\u4e4b\u5341\uff1b\u5728\u4e2d\u98a8\u75c5\u4eba(paraplegia\uff0cquadriplegic and hemiplegia \u8005) \u6709\u767e\u5206\u4e4b12~25%\uff1b\u5275\u50b7\u6027\u8166\u50b7(TBI)\u7684\u75c5\u4eba\u7d04\u670912%\u6703\u7522\u751fRSD\u7684\u75c7\u72c0\u3002<\/p>\n<p>       \u901a\u5e38\u95dc\u65bcRSD\u53ef\u5206\u70ba\u4e09\u671f\uff0c\u7b2c\u4e00\u671f(\u4e00\u5230\u4e09\u500b\u6708)\uff0c\u56b4\u91cd\u71d2\u707c\u7684\u75bc\u75db\u901a\u5e38\u6703\u53d7\u9650\u5728\u53d7\u50b7\u7684\u5730\u65b9\uff0c\u808c\u8089\u6703\u75d9\u631b\uff0c\u6c34\u816b\uff0c\u76ae\u819a\u7684\u6eab\u5ea6\u984f\u8272\u6703\u6539\u8b8a( cyanotic and cool or red and warm)\u548c\u6d3b\u52d5\u53d7\u9650\uff1b\u7b2c\u4e8c\u671f(\u4e09\u5230\u516d\u500b\u6708)\uff1a\u75bc\u75db\u6703\u8d8a\u56b4\u91cd\u64f4\u6563\uff0c\u6c34\u816b\u589e\u52a0\uff0c\u6bdb\u9aee\u6703\u8b8a\u7684\u7c97\u7cd9\uff0c\u63a5\u8457\u6e1b\u5c11\u6307\u7532\u6703\u6613\u788e\u7834\u88c2\u53ca\u767c\u751f\u7d0b\u8def\u840e\u7e2e\u3002\u7b2c\u4e09\u671f\u840e\u7e2e\u548c\u75bc\u75db\u6703\u8b8a\u6210\u4e0d\u53ef\u9006\uff0c\u901a\u5e38\u6703\u5305\u62ec\u4e86\u6574\u500b\u80a2\u9ad4\uff0c\u6703\u767c\u751fflexion tendon contractures\u3001\u7b4b\u819c\u8b8a\u539a\uff0c\u95dc\u7bc0\u7c98\u9023\uff0c\u6c34\u816b\u6d88\u9000\uff0c\u9b5a\u969b\u8207\u5c0f\u9b5a\u969b\u808c\u7fa4\u660e\u986f\u840e\u7e2e\uff0c\u95dc\u7bc0\u6d3b\u52d5\u53d7\u9650\uff0c\u624b\u81c2\u7121\u65cb\u5f8c\u52d5\u4f5c\uff0c\u6307\u9593\u95dc\u7bc0\u7121\u6cd5\u5f4e\u66f2\uff0c\u53ef\u80fd\u6703\u6709\u9aa8\u8cea\u758f\u9b06\u75c7\u7684\u767c\u751f\u3002<\/p>\n<p>    Bone scanning \u53ef\u4ee5\u5e6b\u52a9\u78ba\u5b9a\u767c\u751fRSD\u7684\u5371\u96aa\uff0c\u7814\u7a76\u4e2d\u6307\u51fathree-phase bone scanning \u53ef\u4ee5\u9810\u77e5\u4e2d\u98a8\u75c5\u4eba\u767c\u751fRSD\u3002 RSD\u5728delayed phase \u986f\u793a\u5728\u95dc\u7bc0\u4e2d\u5468\u908a\u52d5\u8108\u5927\u5e45\u5ea6\u7684\u986f\u5f71\u589e\u52a0\uff0c\u5728\u4e09\u671fbone-uptake phase \u53ef\u89c0\u5bdf\u5230\u6709\u767e\u5206\u4e4b96%\u654f\u611f\u5ea6\uff0c\u670998%\u6e96\u78ba\u5ea6\u3002\u6bd4\u8f03\u4f11\u606f\u6642\u7684\u8840\u6d41\u91cf\u548c\u808c\u8089\u6eab\u5ea6\u5728\u53d7\u5f71\u97ff\u80a2\u9ad4\uff0c\u4e5f\u53ef\u4ee5\u5e6b\u52a9\u78ba\u5b9aRSD\u7684\u8a3a\u65b7\uff0c\u4f46\u53ea\u662f\u5728\u4e00\u4e9b\u75c5\u4eba\u8eab\u4e0a\u4f46\u4e0d\u6703\u662f\u7d55\u5c0d\u7684\u3002<\/p>\n<p>    \u96d6\u7136\u76ee\u524d\u5404\u7a2e\u6cbb\u7642\u65b9\u5f0f\u90fd\u672a\u80fd\u6eff\u610f\u89e3\u6c7a\u53cd\u5c04\u6027\u4ea4\u611f\u795e\u7d93\u5931\u990a\u75c7\u75c5\u60a3\u7684\u75db\u82e6\uff0c\u4f46\u662f\u4f34\u96a8\u75bc\u75db\u8207\u7d44\u7e54\u8b8a\u5316\u800c\u7522\u751f\u7684\u529f\u80fd\u969c\u7919\uff0c\u4ecd\u662f\u4ee5\u5fa9\u5065\u6cbb\u7642\u6539\u5584\u5176\u95dc\u7bc0\u6d3b\u5ea6\u8207\u7d44\u7e54\u5931\u990a\u7684\u72c0\u614b\u70ba\u4e3b\u3002\u6703\u8a3a\u9ebb\u9189\u79d1\u63a1\u53d6\u795e\u7d93\u7bc0\u963b\u65b7\u6216\u75bc\u75db\u63a7\u5236\uff0c\u751a\u81f3\u63a1\u884c\u4ea4\u611f\u795e\u7d93\u7bc0\u5207\u65b7\u624b\u8853\u4f86\u6539\u5584\u60c5\u6cc1\uff0c\u4e5f\u662f\u53ef\u4ee5\u8003\u616e\u7684\u65b9\u6cd5\uff0c\u53e6\u7531\u65bc\u75c5\u7a0b\u9577\u671f\u7f3a\u4e4f\u63a7\u5236\uff0c\u9032\u800c\u9020\u6210\u65e5\u5f8c\u5fc3\u7406\u53ca\u65e5\u5e38\u751f\u6d3b\u7684\u969c\u7919\uff0c\u5e38\u6210\u70ba\u5bb6\u5ead\u8207\u793e\u6703\u7684\u8ca0\u64d4\u8207\u554f\u984c\u3002<\/p>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_2618\" class=\"pvc_stats all  \" data-element-id=\"2618\" style=\"\"><i class=\"pvc-stats-icon medium\" aria-hidden=\"true\"><svg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"chart-bar\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\" class=\"svg-inline--fa fa-chart-bar fa-w-16 fa-2x\"><path fill=\"currentColor\" d=\"M396.8 352h22.4c6.4 0 12.8-6.4 12.8-12.8V108.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v230.4c0 6.4 6.4 12.8 12.8 12.8zm-192 0h22.4c6.4 0 12.8-6.4 12.8-12.8V140.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v198.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h22.4c6.4 0 12.8-6.4 12.8-12.8V204.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v134.4c0 6.4 6.4 12.8 12.8 12.8zM496 400H48V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 16-16v-16c0-8.84-7.16-16-16-16zm-387.2-48h22.4c6.4 0 12.8-6.4 12.8-12.8v-70.4c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v70.4c0 6.4 6.4 12.8 12.8 12.8z\" class=\"\"><\/path><\/svg><\/i> <img decoding=\"async\" width=\"16\" height=\"16\" alt=\"Loading\" src=\"https:\/\/edu.secda.info\/pcrohs\/wp-content\/plugins\/page-views-count\/ajax-loader-2x.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u6700\u8fd1\u6709\u5e7e\u4f4d\u75c5\u4eba\u56e0\u70ba\u9aa8\u6298\u5f8c\u96d6\u5df2\u7652\u5408,\u4f46\u537b\u6301\u7e8c\u6709\u7570\u5e38\u75bc\u75db, \u6c34\u816b, \u76ae\u819a\u6eab\u5ea6\u6216\u984f\u8272\u6539<\/p>\n<div class=\"pvc_clear\"><\/div>\n<p id=\"pvc_stats_2618\" class=\"pvc_stats all  \" data-element-id=\"2618\" style=\"\"><i class=\"pvc-stats-icon medium\" aria-hidden=\"true\"><svg aria-hidden=\"true\" focusable=\"false\" data-prefix=\"far\" data-icon=\"chart-bar\" role=\"img\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 512 512\" class=\"svg-inline--fa fa-chart-bar fa-w-16 fa-2x\"><path fill=\"currentColor\" d=\"M396.8 352h22.4c6.4 0 12.8-6.4 12.8-12.8V108.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v230.4c0 6.4 6.4 12.8 12.8 12.8zm-192 0h22.4c6.4 0 12.8-6.4 12.8-12.8V140.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v198.4c0 6.4 6.4 12.8 12.8 12.8zm96 0h22.4c6.4 0 12.8-6.4 12.8-12.8V204.8c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v134.4c0 6.4 6.4 12.8 12.8 12.8zM496 400H48V80c0-8.84-7.16-16-16-16H16C7.16 64 0 71.16 0 80v336c0 17.67 14.33 32 32 32h464c8.84 0 16-7.16 16-16v-16c0-8.84-7.16-16-16-16zm-387.2-48h22.4c6.4 0 12.8-6.4 12.8-12.8v-70.4c0-6.4-6.4-12.8-12.8-12.8h-22.4c-6.4 0-12.8 6.4-12.8 12.8v70.4c0 6.4 6.4 12.8 12.8 12.8z\" class=\"\"><\/path><\/svg><\/i> <img decoding=\"async\" width=\"16\" height=\"16\" alt=\"Loading\" src=\"https:\/\/edu.secda.info\/pcrohs\/wp-content\/plugins\/page-views-count\/ajax-loader-2x.gif\" border=0 \/><\/p>\n<div class=\"pvc_clear\"><\/div>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[102,108],"tags":[],"class_list":["post-2618","post","type-post","status-publish","format-standard","hentry","category-k-","category-108"],"_links":{"self":[{"href":"https:\/\/edu.secda.info\/pcrohs\/index.php?rest_route=\/wp\/v2\/posts\/2618","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/edu.secda.info\/pcrohs\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/edu.secda.info\/pcrohs\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/edu.secda.info\/pcrohs\/index.php?rest_route=\/wp\/v2\/users\/16"}],"replies":[{"embeddable":true,"href":"https:\/\/edu.secda.info\/pcrohs\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2618"}],"version-history":[{"count":1,"href":"https:\/\/edu.secda.info\/pcrohs\/index.php?rest_route=\/wp\/v2\/posts\/2618\/revisions"}],"predecessor-version":[{"id":2620,"href":"https:\/\/edu.secda.info\/pcrohs\/index.php?rest_route=\/wp\/v2\/posts\/2618\/revisions\/2620"}],"wp:attachment":[{"href":"https:\/\/edu.secda.info\/pcrohs\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2618"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/edu.secda.info\/pcrohs\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2618"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/edu.secda.info\/pcrohs\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2618"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}